HomeMy WebLinkAbout3-COL-14DnBName
Unit
Block pCxf%
Lot ,� 7 !J /1�, �✓
Date of Mark -out
Date of Burial 9�/ dl AK Time % % 00. S 1%�
Name of Funeral Home
Authorized by
CYNTHIA LOUISE SPINKS
April 28, 1956 - August 20, 2014
Cynthia Louise Spinks (Cindy), 58, of Sebastian (formerly Boynton Beach), passed peacefully on
Wednesday, August 20, 2014 at the VNA Hospice House in Vero Beach. Cindy fought a brave
and hard battle against Leukemia.
Cindy was a loving and true friend to many. She had the most caring heart and would do
without to help others in need. She most cherished her large and loving family. Cindy was born
on April 28, 1956 in Binghamton, NY. Her family moved to Boca Raton from Vestal, IVY when she
was 11. She attended Boca High and graduated from Boca Prep School in 1974. She worked in
the casual furniture business for many years. She was an active member of Beta Sigma Phi
sorority for many years.
Cindy is survived by her loving husband of 23 years, Randell; parents Frank and Betty Lou Sanzo;
daughter, Kari Dennis and friend George Johnson; Sister Beth Larson, her husband Charlie; two
brothers, Frank Sanzo and wife Shari, Steven Sanzo and Michelle; grandsons, Bailey Dennis,
Tylar and Charles Dennis; nieces and nephews, Charlie, Jr. (Tiffany), Lindsay (Matt), Frankie, Jr. ,
(Lindsay) , Tawny (James), Kirstie and Andrew; Uncle Bob Purtell and beloved cousins, Debbie
Purtell, Becky Palmer, Linda Spruill and David Purtell.
Certificate No. 2433
CITY OF SEBASS T1 AN
Certificate Of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Frank L. & Elizabeth Sanzo
110 Paddock Street
Sebastian, FL 32958
In and for consideration of the sum of $4,000.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following niches:
Unit 3, Columbarium, Niche 14dnb & 39dnb
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 271' day of August, 2014.
CITY OF SEBASTIAN, FLORIDA
Joseph F. Griffin
City Manager
ATTEST:
Sally A. Mai b, MMC
City Clerks
CITY OF SEBASTIAN
CITY CLERK'S OFFICE 4 9 1 9
+ RECEIPT
Name M5. 151 - ' e r 4 g SQn t El Cash
Date q-10-114 'G Check # 312 5
No.
Amount Paid
001001208001
Sales Tax
001501 322900
Garage Sales
001501 341920
Copies/Bid Specs.
001501 341910
LDC /Code of Ordinances
001501341830
Election Qualifying Fees
801010 343800
Cemetery Lots
j
Lot/Niche l Ltnb Block ,Unit 3
001501 343805
Cemetery Fees ! 5o, U v
LjTotal Paid
Initials
White - Dept. of Origin 9 Yellow - Finance • Pink - Applicant
Vera Beach Crematory, LLC
1830 Wilbur Avenue
Vera Beach, Florida 32960
We hereby certify that these are the cremated human remains of:
Cynthia Louise Spinks
August 20, 2014
(Date of Death)
Strunk Funeral Home and Crematory
(Funeral Home in Charge)
3730
(Cremation ID Number)
August 25, 2014
(Date of Cremation)
Sebastian, Florida
(City and State)
By('
(Cremator Signature)
State of Florida, Department of Health, Bureau of Vital Statistics
BURIAL TRANSIT PERMIT
HEALTH DATE PRINTED: September 9, 2014 TRACKING NUMBER: 2014121019
1. DECEDENT INFORMATION
Name of Deceased Date of Death
CYNTHIA LOUISE SPINKS August 20, 2014
Place of Death - County City, Town or Location Name of facility, or street address if not a facility
INDIAN RIVER VERO BEACH VNA HOSPICE HOUSE
Name and Address of Funeral Home /Direct Disposal Establishment Fla. Lic, No./Reg. No. Phone Number
STRUNK FUNERAL HOME- SEBASTIAN F041870 F041870 (772) 589 -1000
1623 N CENTRAL AVE
SEBASTIAN, FLORIDA, 32958
Funeral DirectorlDirect Disposer Fla. Lic. No./Reg. No.
WILLIAM B. WHITTAKER F026900
2. BURIAL - TRANSIT PERMIT
The Florida Department of Health, Bureau of Vital Statistics
hereby grants permission to dispose of this body in accordance with Chapter 382, Florida Statutes.
Permit Number: 2014- FO411170 -5125
a G / Date Issued: August 20, 2014
Meade Grigg, State Registrar
3. AUTHORIZATION for CREMATION, DISSECTION, BURIAL -AT -SEA, or HOSPITAL DISPOSITION
Authorization given by Medical Examiner District 19 Approval Number: C14 -19 -08 -298
4. CEMETERY OR CREMATORY
Place of Disposition: VERO BEACH CREMATORY
Method of Disposition: CREMATION Date of Disposition:
EDRS maintains all statutorily required information regarding the death record and related
burial transit permit, therefore, returning the permit to the county health department is no
longer required.
If the Place of Final Disposition wishes to retain the copy of the permit for their file they may do so.
DH 326E, 10/12
64V- 1.011, Florida Administrative Code
vo-se 4, r
�j Total Paid 75. -7 0
Initials
White - Dept. of Origin • Yellow - Finance • Pink . Applicant
CITY OF SEBASTIAN
CITY CLERK'S OFFICE
/, (] ')
RECEIPT
`+ I C
Name (_C.c.i!J
t "_- 7 1 1 t`-i'' I C _L/
0 Cash
Date 1
!✓ 7
/
Check# 3 f2 `'f
,fit
No,
Amount Paid
001001 208001
Sales Tax
001501 322900
Garage Sales
001501 341920
Copies /Bid Specs.
001501 341910
LDC1Code of Ordinances
001501341930
Election Ouaiifying Fees
601010 343800
Cemetery Lots
LotfNiche . Block
, Unit
001501 343805
Cemetery Fees
vo-se 4, r
�j Total Paid 75. -7 0
Initials
White - Dept. of Origin • Yellow - Finance • Pink . Applicant
CITY OF SEBASTIAN
CITY CLERK'S OFFICE _ 4912
RECEIPT
l� r ' f —'s Sat) C,
Name ,� /
❑ Cash
Datew Z7-/q
1( Check # 3 0 7
No.
Amount Paid
001001208001
Sales Tax
001501 322900
Garage Sales
001501 341920
Copies[Bid Specs.
001501 341910
LDC1Code of Ordinances
001501 341930
Election qualifying Fees
Cemetery Lots
601010 343800
,
LoMiche � ,i /� , Block
Unit
001501343605
Cemetery Fees
Total Paid i "1��;,�1��
Initials
White - Dept. of Origin + Yellow - Finance a Pink - Applicant
FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN
FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY
For information contact:
Kip Kelso .Cemetery Sexton
Sebastian Municipal Cemetery
(772) 589 -2545
City Clerk's Office
City Hall, 1225 Main Street
Sebastian, FL 32958
Office (772) 388 -8295 or 388 -8214
Fax: (772) 589 -5570
FUNERAL HOME: Strunk Funeral Home and Crematory
ADDRESS: 1623 North Central Avenue, Sebastian, Florida, 32958
PHONE #: 772 -589 -1000
(Check One)
OPEN BURIAL LOT
OPEN CREMAINS LOT
X OPEN COLUMBARIUM NICHE
Lot -Block Unit
Lot Block Unit
Niche DNB Block 14B Unit 3
N S E W
BURIAL DATE AND SERVICE TIME: Thursday, 9/11/2014, 2:30 PM GRAVESIDE
FOR DECEASED: Cynthia Louise Spinks
Name
NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE:
(Must provide proper documentation of ownership)
Elizabeth L. Sanzo jaor4 0 9/9/2014
Name Sign re Date
I certify that I have determined the ownership of the above described site that all site fees and administrative
fees have been paid and authorize opening of same.
NAME AND SIGNATURE OF LICENSED FUNERAL DIRECTOR:
William B. Whittaker, Jr.
Name
Signature
9/9/2014
Date
Cemetery Sexton Certification:
I certify that I have checked the ownership information by viewing the owner's deed and confirming with Clerk's
office and that all fees have,,been paid: N
60 a- { 7-//z i /;`
Cer64ry Se on Date
This form to be provided to Clerk's Office by Sexton for permanent record upon completion
C)�ej to
2-D
L - Sari 2-D
I D d d L)o<- �t r-;- cr
State of Florida, Department of Health, Bureau of Vital Statistics
BURIAL TRANSIT PERMIT
HE�ILTH DATE PRINTED: September 9, 2014 TRACKING NUMBER: 2014121019
1. DECEDENT INFORMATION
Name of Deceased Date of Death
CYNTHIA LOUISE SPINKS August 20. 2014
Place of Death - County City, Town or Location Name of facility, or street address if not a facility
INDIAN RIVER VERO BEACH VNA HOSPICE HOUSE
Name and Address of Funeral Home /Direct Disposal Establishment Fla. Lic. No. /Reg. No, Phone Number
STRUNK FUNERAL HOME- SEBASTIAN F041870 F041870 (772) 589 -1000
1623 N CENTRAL AVE
SEBASTIAN, FLORIDA, 32958
Funeral Director /Direct Disposer Fla. Lic. No.IReg. No.
WILLIAM B. WHITTAKER F026900
2. BURIAL - TRANSIT PERMIT
The Florida Department of Health, Bureau of Vital Statistics
hereby grants permission to dispose of this body in accordance with Chapter 382, Florida Statutes.
/► Permit Number: 2014 - 17041870 -5125
Date Issued: August 20, 2014
Meade Grigg, State Registrar J
3. AUTHORIZATION for CREMATION, DISSECTION, BURIAL -AT -SEA, or HOSPITAL. DISPOSITION
Authorization given by Medical Examiner District 19 Approval Number: C14- 19- 08.298
4.. CEMETERY OR CREMATORY
Place of Disposition: VERO BEACH CREMATORY
Method of Disposition: CREMATION Date of Disposition:
EDRS maintains all statutorily required information regarding the death record and related
burial transit permit, therefore, returning the permit to the county health department is no
longer required.
If the Place of Final Disposition wishes to retain the copy of the permit for their file they may do so.
DH 325E, 10112
64V- 1.011, Florida Administrative Code
/ ` C�`-'I Total Paid
Initials
White - Dept. of Origin • Yellow - Finance + Pink • Applicant
CITY OF SEBASTIAN
CITY CLERK'S OFFICE
4919
RECEIPT
Name MS.
G 11 ZZL, ✓e,�
0 Cash
Date 1— `0' I `"1
V Check p 3 t 2 5
No.
Amount Paid
001001208001
Sales Tax
001501 322900
Garage Sales
001501 341920
Copies/Bid Specs.
001501341910
LDClCode of Ordinances
001501 341930
Election. Qualifying Fees
601010 343800
Cemetery Lots
J
LoMiche I q d n b, Block I
z
Unit �J
001501 343805
Cemetery Fees
1
r • a
/ ` C�`-'I Total Paid
Initials
White - Dept. of Origin • Yellow - Finance + Pink • Applicant